TITLE ORDER FORM Return to ATG Title Services Via Fax: 855.827.3568 Or Email: [email protected]

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TITLE ORDER FORM Return to ATG Title Services Via Fax: 855.827.3568 Or Email: Orders@Atgf.Com

TITLE ORDER FORM Return to ATG Title Services via Fax: 855.827.3568 or Email: [email protected] Order Date: Delivery Method: (If none specified, we will send via email.) Email: Date Needed: US Mail Pickup UPS Next Day ($10.00 added to Title Preparation Fee) Fax: Ordered By: Member No.: Phone No.: Fax No.: Email: Transaction Type: Type of Property: Purchase (with mortgage) Single Family Cash Deal Condo Refinance Townhome/Coach House Foreclosure Commercial Condo Conversion Master Commitment Mixed Use Tract Search Vacant Land Search Only Apartment Building/2-3 Flat No. of units: BORROWER(S) BUYER’S ATTORNEY Name: Name: SSN (Last 4 digits) or FEIN (in full)*: Address: Name: City, State, Zip: SSN (Last 4 digits) or FEIN (in full)*: Phone: Fax: Address: Email: City, State, Zip: SELLER’S ATTORNEY County: Name: * Non-purchase money mortgage transactions only. Address: SELLER(S) City, State, Zip: Name: Phone: Fax: SSN (Last 4 digits) or FEIN (in full): Email: Name: REAL ESTATE AGENT SSN (Last 4 digits) or FEIN (in full): Name: Address: Phone: Fax: City, State, Zip: Email: Phone: Fax: COOPERATING REAL ESTATE AGENT SELLING PROPERTY Name: Address: Phone: Fax: Email: City, State, Zip: County: PIN: ATG FORM 4221 FOR USE IN: IL © ATG (REV. 2/18) Page 1 of 2 LENDER First Lender Name: Second Lender Name: Contact Name: Contact Name: Address: Address: City, State, Zip: City, State, Zip: Phone: Fax: Phone: Fax: Email: Email: First Mortgagee Clause: Second Mortgagee Clause: Endorsements: Are any titleholders deceased? Yes No ARM Condo Location Name(s): Balloon EPL PUD Purchase Price: $ Other: Loan Amount: $ Second Loan Amount: $ Two Commitments required? Yes No WATER CERTIFICATE/ZONING CERTIFICATE PRIOR POLICY (City of Chicago Only) Yes, attached (Both Schedules A & B) Yes, I would like to order through AT G. No (You will be provided with a Request for Water and/or Zoning Certification (ATG Form 4027), which is also available on our website, www.atg.fom. For more information, contact the ATG Search Department at 312.372.1735.) ADDITIONAL INSTRUCTIONS Ensure encryption or password protection is utilized when transmitting Non-Public Personal Information (NPI) electronically. Alternatives to encryption, such as password protection (e.g., Adobe PDF password protection) of files or transmission by facsimile, are acceptable forms of protecting information. ATG FORM 4221 FOR USE IN: IL © ATG (REV. 2/18) Page 2 of 2 .

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Executive Order 12985— Establishing the Armed Forces Service Medal
62 Jan. 12 / Administration of William J. Clinton, 1996 received in time for publication in the appropriate suitable device may be awarded to be worn issue. on the medal or ribbon as prescribed by ap- propriate regulations. Sec. 4. Posthumous Provision. The medal Executive Order 12985Ð may be awarded posthumously and, when so Establishing the Armed Forces awarded, may be presented to such rep- Service Medal resentative of the deceased as may be January 11, 1996 deemed appropriate by the Secretary of De- fense or the Secretary of Transportation. By the authority vested in me as President William J. Clinton by the Constitution and the laws of the Unit- ed States of America, including my authority The White House, as Commander in Chief of the Armed Forces January 11, 1996. of the United States, it is hereby ordered as [Filed with the Office of the Federal Register, follows: 8:45 a.m., January 17, 1996] Section 1. Establishment. There is hereby established the Armed Forces Service Medal NOTE: This Executive order was released by the with accompanying ribbons and appur- Office of the Press Secretary on January 13, and it was published in the Federal Register on Janu- tenances, for award to members of the ary 18. Armed Forces of the United States who, on or after June 1, 1992, in the opinion of the Joint Chiefs of Staff: (a) Participate, or have Remarks to American Troops at participated, as members of United States Aviano Air Base, Italy military units in a United States military op- January 13, 1996 eration in which personnel of any Armed Force participate that is deemed to be signifi- The President.
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